PFD report

Rachael Claire Slack and 2 others · Prevention of Future Deaths report

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Issued 1 Nov 2013•Derby and Derbyshire

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Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
5

Named on the report

Responses found
0

Of 5 recipients

Stated actions
0

Described in responses

Source document

Full report text

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure to exchange relevant information between Police and Mental Health Services
    Part of recurring concern: Unreliable operational liaison between police and mental health services for safety-critical risk management
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to exchange relevant information between Police and Mental Health Services

Wider context from the report

“1. At the time of arrest of Mr Cairns, the Police were aware of his assessment under Section 136 of the Mental Health Act the previous day. The Custody Nurse had contacted the Crisis Team to obtain information regarding the 136 assessment which was duly given by the Mental Health Team. However, there was no reciprocal exchange of information and the Mental Health Team were not informed that Mr Cairns had been arrested with regards to Threats to Kill his partner. 2. At the conclusion of the Inquest and after all the evidence was heard, it came to light that there was in existence a policy for mutual sharing of information between the Police and Mental Health Services if each respective organisation requested information from the other. 3. This document was not disclosed prior to the Inquest or during the Inquest itself and it would have been critical to ask witnesses from the Police and Mental Health Services about their knowledge of this document. ”

Is this part of a recurring concern?

Yes — Unreliable operational liaison between police and mental health services for safety-critical risk management.

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
0/5

Data last updated 7 September 2026

No official response is included in the current published snapshot.